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Current directions in pediatric obsessive-compulsive disorder.

Adam B Lewin1, Eric A Storch, Jennifer Adkins

  • 1Department of Clinical and Health Psychology, University of Florida Health Science Center, Gainesville, FL 32610, USA.

Pediatric Annals
|March 17, 2005
PubMed
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Pediatric obsessive-compulsive disorder (OCD) treatment often lacks trained professionals. Intensive Cognitive Behavioral Therapy (CBT) may improve access to effective care for children with OCD and comorbid conditions.

Area of Science:

  • Child and Adolescent Psychiatry
  • Mental Health Services Research

Background:

  • Pediatric obsessive-compulsive disorder (OCD) is a prevalent, chronic, and impairing condition.
  • Diagnosis can be challenging due to patient secrecy and comorbid psychopathology.
  • First-line treatments include Cognitive Behavioral Therapy (CBT) alone or with SSRIs, yet few clinicians are adequately trained.

Purpose of the Study:

  • To highlight the need for improved access to trained CBT professionals for pediatric OCD.
  • To suggest intensive CBT as a potential solution for underserved populations.
  • To advocate for further research into intensive CBT and interventions for comorbid conditions.

Main Methods:

  • The abstract discusses findings from a national survey of clinicians treating pediatric OCD in Norway.

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  • It reviews current treatment guidelines and identifies gaps in clinical practice.
  • It proposes areas for future research based on existing challenges.

    • Main Results:

    • Less than 33% of surveyed clinicians reported using exposure/response prevention techniques, despite favoring CBT.
    • Limited access to CBT-proficient professionals may lead to suboptimal treatment choices.
    • There is a clear need to enhance the referral network for specialized pediatric OCD treatment.

    Conclusions:

    • Improving access to CBT-trained professionals is crucial for effective pediatric OCD treatment and relapse reduction.
    • Intensive CBT models warrant investigation to extend resources to families lacking local expertise.
    • Further intervention studies are needed for children with significant comorbid psychopathology.